Organization Active NPI

Mindful Matters Counseling Center PLLC

  • Counselor
  • Macomb, MI
National Provider Identifier
1689096927
Registry record updated Jan 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401011374 Issued in MI
Legal business name
MINDFUL MATTERS COUNSELING CENTER PLLC
Practice address
17937 Hall Rd
Macomb, MI 48044-4557
Phone
(586) 649-8410
Fax
(586) 569-2544
NPI assigned
Jan 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Diane Schalk, MA, LPCNPI 1003046442
Title
Owner/Counselor
Phone
(586) 649-8410

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X 6401011374 MI Primary

Addresses

Primary practice location

17937 Hall Rd
Macomb, MI 48044-4557

Mailing address

9443 Nook Rd
Clay, MI 48001-4428
Phone (586) 649-8410

National Provider Directory

National Provider Directory

Locations

17937 Hall Rd
Macomb, MI 48044
Phone (586) 255-0499

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388966400000",
    "number": "1689096927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9443 NOOK RD",
            "city": "CLAY",
            "state": "MI",
            "postal_code": "480014428",
            "telephone_number": "586-649-8410",
            "fax_number": "586-569-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17937 HALL RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480444557",
            "telephone_number": "586-649-8410",
            "fax_number": "586-569-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL MATTERS COUNSELING CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-06",
        "last_updated": "2014-01-06",
        "status": "A",
        "authorized_official_last_name": "SCHALK",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "586-649-8410",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401011374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macomb, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.